It includes 1-5 intramuscular or subcutaneous injections of 1000 mcg crystalline cyanocobalamin daily, followed by oral doses of 1000-2000 mcg/day Parenteral administration should be reserved for those with significant neurological symptoms NICE guideline: Vitamin B 12 deficiency in over 16s: diagnosis and management: Malabsorption as the confirmed or suspected cause of vitamin B 12 deficiency: Offer replacement to people if: lifelong intramuscular vitamin B12 Autoimmune gastritis is the cause They have had a total gastrectomy They have had a complete terminal ileal resection If the person has a vitamin B 12 deficiency because of malabsorption that is not caused by autoimmune gastritis, or a total gastrectomy or complete terminal ileal resection (for example, malabsorption caused by coeliac disease, partial gastrectomy or some forms of bariatric surgery): Offer vitamin B 12 replacement and Consider intramuscular instead of
Time of day Twice-daily dosing (most common): Morning: 30-60 minutes before breakfast Evening: 30-60 minutes before dinner OR before bed Consistent timing each day helps Once-daily dosing: Morning preferred (on empty stomach) Or before bed for healing during sleep Choose what fits your schedule Does timing matter much
However, vegans and vegetarians are not the only ones who are deficient
Make sure you are aware of all the side effects that come along after the injections, for this do thorough research, and also contact your doctor
Ullmann's encyclopedia of industrial chemistry
To ensure you're fully prepared, we recommend a few simple steps: At Right Weight Center, we pride ourselves on offering personalized care that respects your unique journey
